Individual
JILLIAN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 NEW YORK AVE, HUNTINGTON, NY 11743-4286
(631) 649-5166
Mailing address
183 COREY PL, HUNTINGTON STATION, NY 11746-2038
(631) 649-5166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
357012
NY
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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